由侵入性真菌鼻炎引起的轨道顶部综合征的神经眼科结果
Minhae Park1, Joongbo Shin1, Eunkyu Lee1
1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Journal of neurological surgery. Part B, Skull base
|January 30, 2025
概括
由于侵入性真菌鼻炎 (IFS) 引起的轨道顶部综合征 (OAS) 是罕见的,但可治疗的. 早期诊断和治疗导致良好的生存和神经眼科结果,尽管视力恢复可能具有挑战性.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 轨道顶部综合征 (OAS) 呈现出视力丧失,眼,亡和疼痛.
- 侵入性真菌鼻炎 (IFS) 是一种罕见但严重的OAS病因.
- 了解OAS中等于IFS的神经眼科结果对于患者管理至关重要.
研究的目的:
- 分析IFS引起的OAS患者的神经眼科结果.
- 确定与IFS二次性OAS中视力不佳相关的风险因素.
- 评估早期诊断和治疗OAS/IFS的有效性.
主要方法:
- 对25名IFS二次性OAS患者的回顾性分析 (2018年1月 - 2022年7月).
- 视力敏度,眼,亡和轨道疼痛的评估.
- 基于20/200的视力敏度的分类;视力恢复失败的风险因素的调查.
主要成果:
- 发生了一例死亡 (4%的死亡率).
- 20%的最初视力差的患者 (<20/200) 恢复了视力.
- 眼,亡和疼痛显示出比视力敏度更高的恢复率.
结论:
- 虽然很少见,但IFS的二次性OAS可以在及时诊断和治疗的情况下获得良好的结果.
- 早期干预是改善生存和神经眼科结果的关键.
- 虽然运动和感官缺陷可能会改善,但视觉恢复仍然是一个重大挑战.
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